University of British Columbia, Vancouver, Canada.
Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland.
Prim Health Care Res Dev. 2020 Sep 30;21:e39. doi: 10.1017/S1463423620000420.
Noncommunicable diseases (NCDs) are a growing challenge in the Republic of Moldova. A previously reported pilot cluster randomized controlled trial aimed to determine the feasibility of implementing and evaluating essential interventions for NCDs (e.g. cardiovascular risk scoring, hypertension management, statin treatment, etc.) in primary health care in the Republic of Moldova, with a view toward national scale up. One-year follow-up data (previously published) demonstrated modest improvements in NCD risk factor identification and management could be achieved. Herein, we report the second-year follow-up data and conclude that sustainable improvements in NCD risk factor control (e.g. hypertension control) can be achieved in primary health care in low resource settings by adapting existing resources (e.g. WHO PEN) and conducting focused clinical training and support. If scaled to a national level, these improvements in risk factor control could significantly translate to reductions in premature mortality from NCDs.
非传染性疾病（NCDs）在摩尔多瓦共和国是一个日益严峻的挑战。一项先前报道的试点整群随机对照试验旨在确定在摩尔多瓦共和国的基层医疗保健中实施和评估针对 NCD 的基本干预措施（例如心血管风险评分、高血压管理、他汀类药物治疗等）的可行性，以期实现国家层面的推广。一年的随访数据（先前已发表）表明，可以实现对 NCD 风险因素识别和管理的适度改善。在此，我们报告第二年的随访数据，并得出结论，通过调整现有资源（例如世卫组织 PEN）并进行有针对性的临床培训和支持，可以在资源有限的基层医疗保健环境中实现 NCD 风险因素控制（例如高血压控制）的可持续改善。如果推广到全国范围，这些风险因素控制的改善可能会显著降低 NCD 导致的过早死亡率。
